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JESSICA PENALOZA
NPI 1104596030
Adult Companion in Elk Grove, CA

Active since September 13, 2021
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758(916) 417-1049(916) 226-2804 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Aug 19, 2022, Sep 13, 2021 (3 updates tracked since 2021).

About Jessica Penaloza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PENALOZA (NPI 1104596030) is an individual adult companion provider in Elk Grove, California and active in the NPI registry since September 2021. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1104596030
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameJESSICA PENALOZA
Location Address9412 BIG HORN BLVD STE 6Elk Grove, CA 95758-1101
Mailing Address9412 Big Horn Blvd Ste 6Elk Grove, CA 95758-1101 · (916) 417-1049 · Fax (916) 226-2804
Phone(916) 417-1049
Fax(916) 226-2804
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1104596030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
9412 BIG HORN BLVD STE 6, Elk Grove, CA 95758
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Secondary Practice Location 1

Location 13810 Rosin Ct Ste 180Sacramento, CA 95834-1656 · Phone (916) 283-8280 · Fax (916) 283-8259

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTERYA WALKER
Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 642-5760
CHRISTINA SHAVERS
Student in an Organized Health Care Education/Training Program
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
MISS BETTY JUNG MSW
Social Worker (Clinical)
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 879-3940
SARA SALINA MARTINEZ
Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 520-7399
ANA C SANCHEZ
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
JULIE N LE RBT
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 281-1640
ALEXANDRIA HAYNES
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
MAGDALENA ELIZABETH MUSTAFA KANAAN
Marriage & Family Therapist
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Penaloza's NPI number?

The NPI number for Jessica Penaloza is 1104596030. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Jessica Penaloza located?

Jessica Penaloza practices at 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758. The listed phone number is (916) 417-1049.

What is Jessica Penaloza's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Jessica Penaloza was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.